HomeMy WebLinkAboutMohring (7) JUDITH T. TERRY :' {�. Town Hall, 53095 Main Road
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a y " ,;; P.O. Box 1179
TOWN CLERK
Southold, New York 11971
REGISTRAR OF VITAL STATISTICSVO' s � Fax (516) 765-1823
MARRIAGE OFFICER _ �� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER •••
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1071 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING ENTERPRISES INC.
Address 1 : 232 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #93-SO-52
Name Of Owner MOHRING ENTERPRISES INC.
Mailing Address 1 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 KIMBERLY LANE
(PARADISE BY THE BAYS, LOT 14)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.014
Cross Street PINE NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 12/01/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY z e < Town Hall, 53095 Main Road
TOWN CLERK z ® T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ® ,Nr
l� Fax (516) 765-1823
_ 1 �� Fax
(516) 765-1801
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OFFICE OF THE TOWN CLERK f`r 'i '--" `
TOWN OF SOUTHOLD
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TO: Southold Town Building Departments::::
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FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 29, 1993
Transmitted herewith is a copy of application No. 1105 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mohrinq Enterprises Inc.
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ,1.-- -"-----
DISAPPROVE
Comments: . r 95 cyO- 66-2- yie--7/411
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--``OFFICE OF THE TOWN CLERK c,q"F9 •
Town of Southold GAO, . ��)
Judith T. Terry, Town Clerk �' ,-'••� �y Application Not/d
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Town Hall, 53095 Main Road ~ �•. ��1 ,�
P. O. Box 1179
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cn ii:\ Ft,;1� ,-- Construction
Southold, New York 11971 "'I' ,- -,,,V
G:0 ,oAlteration
Telephone 1 i` 1 Residential >✓
(516) 765- 1801 • ,js.rifl
Non-Rest den tial
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
-
APPLICATION
• for
CONSTRUCTION or ALTERATION PERMIT
•
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee •$
•
DATE NOV 1 /fl3
APPLICANT NAME:
APPLICANT ADDRESS: 323 6-"/e Cove 4��
- eq., Gt i-j'-r< /11L/ //5-79
•
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /Vel Cq.51-y� ,tiot
®® Gl • -�nlc_ etwe 3 elfic . ems
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ��^�f�/r' o'
r's�5 �
�p�i�r� 6 `i c,
• OWNER MAILING ADDRESS: J2 j '/ C c
5.e4. Cit(fe /VI //57 .q
OWNER PROPERTY ADDRESS:
/14/14a, • G,,, ��e.46e%
TELEPHONE NUMBER OF •CONTACT PERSON:
TAX MAP NO. : Section 7e' • Block
�� Lot Ze .. r -
CROSS STREET: vie kle •;%sf
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
.e.,.....,...p\, / , , .
Signature ofA —
pplicant
RECEIVED BY:
T4LICOMos Office
DATE: •
Ism CIN 001.60f*
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ROXANNE ROAD
06.
SURVEY OF ,
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� PROPERTY
} t5 . - ' - A T SOUTHOLD. " , `
_t 259.00' TOWN OF SOUTHOLD
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ill13 o SUFFOLK COUNTY, N. Y..
3 i N 84. 22' 20" E 1000 - 70 - 13 - 20.14
\ -� Z,r Scale l" = 40'
' pr 0 P - ' Z�. Nov. 7, 1988 ' - • . . „
a ''-` 5 \ p May25, 1993(B.O.H..)
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EXPI
I m I Sl1FFFO COUNTY DEpARTMiENT OF HEALTH SERVICES
3 1 w y+'� iof"' FOR APPROVAL OF CONSTRUCTION ONLY ,
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Pr'P m cn m z q� MP/ 17 19,9.9 .
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h l t; spice" V/ Ip G ,p6 • 1,-,..,1*' °'• DATE 0 ,REF.N0. / a,�0••J'o1
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I sIG 6 /-ogee/ CERTIFIED TO,
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323 GLEN COVE AVENUE COMMONWEALTH LAND TITLE INSURANCE
Z The water supply and sewage disposal SEA CLIFF,N.Y.11579 CO- a,- :AHK AND TRUST
systems for this residence will conform The locations of wells and cess Dols- SSP�N t.MErtQ O.p�
1 ' to the standards of The Suffolk County (, shown hereon are from field observations '� �,?� F4 ,
ELEVAnONSARE REFERENCED TO nte.v.D. Deportmen! o/Health Services. and or from data obtained from others. ��e4',75 3 ,41
i i 1rI/jI I Y.S. LIC. NO. 496,3
Prepared In accordance with the minimum /(y / f
standards for Tille surveys as established f� y, �, ev ;;-ORS P.C.
'NOTES LOT NUMBERS REFER TO 'MAP OF PARADISE BY THE BAY' - ` by the L.1.A.L.S. and approv.d and adopted %:14` F r I
FILED NOV. 4, /976 FILE NO. 6463 AT THE OFFICE OF THE for such us. by The N.w York Slat. Land ++4 0
SUFFOLK CONTY CLERK. AREA a 41,8878 /t. Till. Association. P. e. LRCS 9
' Q SOUTHOLD, N.Y. 11971
88 - 679 •